| Contact Information | |
|---|---|
| First Name | ahja |
| Last Name | ciarocco |
| Address | 1120 mckinley |
| City | pocatello |
| State | ID |
| Province | |
| Zip/Postal Code | 83291 |
| Country | United States |
| Home Phone | 956 - 5438003 |
| Work Phone | - |
| Fax | |
| ahjaria@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | robyn - gunnoe |
| Date of Injury | 01/04/2009 |
| Type of Injury | Obstetric |